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TRESSA G DYKSTRA CNP
NPI 1023385887
Nurse Practitioner - Pediatrics in Minneapolis, MN

Active since November 22, 2011PECOS Enrolled
2530 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6300(612) 813-6953 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2023, Sep 4, 2019, Feb 19, 2019 (3 updates tracked since 2019).

About Tressa G Dykstra Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRESSA G DYKSTRA CNP (NPI 1023385887) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in South Dakota (CP000683) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023385887
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTRESSA G DYKSTRACredential: CNP
Location Address2530 CHICAGO AVEMinneapolis, MN 55404-4289
Mailing Address2530 Chicago AveMinneapolis, MN 55404-4289 · (612) 813-6300 · Fax (612) 813-6953
Phone(612) 813-6300
Fax(612) 813-6953
Sole ProprietorNo
Enumeration DateNovember 22, 2011
Last NPPES UpdateDecember 5, 20233 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1023385887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in SD · CP000683
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 3420 (MN)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 3420 (MN)
2530 CHICAGO AVE, Minneapolis, MN 55404
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1570 Professional DrNorthfield, MN 55057-2756 · Phone (507) 301-3412 · Fax (507) 301-3308
Location 21600 W 22nd StSioux Falls, SD 57105-1521 · Phone (605) 312-1000 · Fax (605) 312-1001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tressa G Dykstra Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tressa Dykstra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Secure Base Counseling Center LLC
35 mi
Psychologist
570 PROFESSIONAL DR
Northfield, MN 55057
  • Reassigned Medicare billing, Minnesota enrollment
  • 38 clinicians in this Medicare group
NPI 1285905885 (507) 301-3412

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE HAWKINS
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE, CSC 390
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-6102
TIFFANIE J WOODS CPNP
Nurse Practitioner (Pediatrics)
2530 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 874-1292
CHILDREN'S RESPIRATORY & CRITICAL CARE SPECIALISTS. P.A.
Pediatrics (Pediatric Pulmonology)
2530 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
DR. KELLY L. ROOD M.D.
Pediatrics (Pediatric Cardiology)
2530 CHICAGO AVE, STE 500
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8800
ROD T TARRAGO M.D.
Pediatrics (Pediatric Critical Care Medicine)
2530 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-3300
ROBERT HAMPTON RICH MD
Surgery (Pediatric Surgery)
2530 CHICAGO AVE, #550
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8000
THE CHILDREN'S HEART CLINIC
Special Hospital
2530 CHICAGO AVE, SUITE 500
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-8813
CHILDREN'S HEALTH CARE
Pharmacy (Community/Retail Pharmacy)
2530 CHICAGO AVE, CSC 225
MINNEAPOLIS, MN 55404
Hennepin County (612) 813-7290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tressa Dykstra's NPI number?

The NPI number for Tressa Dykstra is 1023385887. It was assigned to this individual provider in the NPPES registry on November 22, 2011.

Where is Tressa Dykstra located?

Tressa Dykstra practices at 2530 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (612) 813-6300.

What is Tressa Dykstra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tressa Dykstra enrolled in Medicare?

Yes. Tressa Dykstra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tressa Dykstra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tressa Dykstra reassigns Medicare benefits to Secure Base Counseling Center LLC (Northfield, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tressa Dykstra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tressa Dykstra was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.